NPIMap

Organization Active NPI

Mod Behavior ABA, LLC

  • Behavior Analyst
  • Lake Worth, FL
National Provider Identifier
1902490642
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MOD BEHAVIOR ABA, LLC
Practice address
9815 Cross Pine CT
Lake Worth, FL 33467-2367
Phone
(954) 856-7806
NPI assigned
Feb 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Taylour Leah Musto, BCBANPI 1821340316
Title
Ceo/Bcba
Phone
(954) 856-7806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

9815 Cross Pine CT
Lake Worth, FL 33467-2367

Mailing address

9815 Cross Pine CT
Lake Worth, FL 33467-2367
Phone (954) 856-7806

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1902490642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 CROSS PINE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672367",
            "telephone_number": "954-856-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 CROSS PINE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672367",
            "telephone_number": "954-856-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOD BEHAVIOR ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "MUSTO",
        "authorized_official_first_name": "TAYLOUR",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "CEO/BCBA",
        "authorized_official_telephone_number": "954-856-7806",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.